Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

The addictive quest for achievement and its dangerous consequences

Dawn Baker, MD
Physician
March 6, 2023
Share
Tweet
Share

An excerpt from Lean Out: A Professional Woman’s Guide to Finding Authentic Work-Life Balance.

In the third grade, my teacher identified me as a high achiever. Aside from recognition, he “rewarded” me with the opportunity to write an extra report on a topic of my choosing every month. Being young and not having many commitments on my time, I happily accepted the additional challenge and added work. This began the formation of some of my unwritten rules about what is required for success—and what is required for praise.

Achievements fulfill the higher need that many humans have for accomplishment. We want to meet challenges and make contributions. We want to belong in our cultures. Achievement, however, is a quest that’s never-ending. It can be addictive—even dangerous.

Hedonic adaptation is the concept where, despite the occurrence of significant positive or negative events, your set point for happiness tends to return to a baseline over time. Despite experiencing a joyful moment, such as a marriage, a job promotion, or even winning the lottery, our happiness levels eventually go back to where they were before the external input that incited the perceived change. The classic example of how this works is when you buy a new car. At first, you admire your car and notice its pristine beauty or increased performance over your old car with every drive. Over time, the shiny newness fades, and driving the car doesn’t give you that same novel joy that it once did. It’s just an OK car.

Then, you feel the longing to get another car. That’s where the treadmill part comes in. Our expectations rise to meet the new status quo, which prompts us to seek out more ways to increase our perceived level of happiness. So, how does this apply to achievement? You likely grew up being told you’re smart. You might have been particularly good at math or English or something else. Getting praise gave you a sense of happiness, acceptance, importance, and maybe even love.

You continue to do more of what you’re “good at.” As you mature, you choose to focus your efforts on areas of self-perceived strength. You keep achieving, so people praise you more … and they reward you with more responsibilities. Former lawyer turned writer and happiness expert Gretchen Rubin said, “Making partner at a law firm is like winning a pie-eating contest and being told that the prize is more pie.”

This pattern continues from your school days straight into your career. Achievement is met with more praise and an accompanying wider set of responsibilities, because you do such good work, you can handle it. Our self-worth also gets woven into the treads on the treadmill of achievement. We form more unwritten rules related to our performance:

“I cannot fail, or people won’t love me.”

“I should be grateful I was given this opportunity/job/spot in a class.”

“What I really want to do with my life isn’t possible because it’s not reimbursable/billable/valuable.”

Soon, our lives are filled with tasks, goals, and projects that, despite feeding our sense of self-worth, relevance, or importance, may or may not be related to what actually matters to us. Priorities and time spent begin to misalign. Values and actions diverge. Roles and interests become mismatched … all while we’re not really looking.

Dawn Baker is an anesthesiologist and author of Lean Out: A Professional Woman’s Guide to Finding Authentic Work-Life Balance.

Prev

KevinMD on the Medical Entrepreneur podcast

March 5, 2023 Kevin 0
…
Next

Physicians spending more time with computers than patients

March 6, 2023 Kevin 3
…

Tagged as: Hospital-Based Medicine, Primary Care

< Previous Post
KevinMD on the Medical Entrepreneur podcast
Next Post >
Physicians spending more time with computers than patients

ADVERTISEMENT

More by Dawn Baker, MD

  • Social media: Striking a balance for physicians and parents

    Dawn Baker, MD
  • The voices of women physicians with infertility

    Dawn Baker, MD
  • An unintended consequence of COVID universal masking

    Dawn Baker, MD

Related Posts

  • The unintended consequences of free medical school

    Anonymous
  • The unintended consequences of population health algorithms

    Betty Rabinowitz, MD
  • The consequences of celebrity endorsements in health care

    Sheindel Ifrah
  • Kratom: harmless herbal supplement or dangerous drug?

    Dennis Wichern
  • The dangerous precedent of Alfie Evans

    Vamsi Aribindi, MD
  • 5 hidden consequences of chronic pain

    Toni Bernhard, JD

More in Physician

  • Leadership in action: How a broken pager fixed a hospital

    Ronald L. Lindsay, MD
  • Profits before patients: the hidden cost of U.S. health care

    Dr. Shantanu Rai
  • Why maintenance of certification varies widely: a system in crisis

    Brian Hudes, MD
  • AI governance in health care: Why physicians must lead the design

    Tod Stillson, MD
  • Surgical practice efficiency: How to fix a broken system

    Paul Toomey, MD
  • Future of AI in medicine: Will algorithms replace doctors?

    Patrick Hudson, MD
  • Most Popular

  • Past Week

    • Single-payer health care vs. market-based solutions: an economic reality check

      Allan Dobzyniak, MD | Policy
    • Value-based care data gap: Why metrics fail to reach the bedside

      Ido Zamberg, MD | Policy
    • The healing power of physician presence in modern medicine

      Farid Sabet-Sharghi, MD | Conditions
    • The pause medicine never taught us to take

      Mary Wilde, MD | Physician
    • How naming grief can restore meaning in medical practice

      Patrick Hudson, MD | Physician
    • What the folinic acid retraction means for autism treatment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • Why private equity is betting on employer DPC over retail

      Dana Y. Lujan, MBA | Policy
  • Recent Posts

    • Leadership in action: How a broken pager fixed a hospital

      Ronald L. Lindsay, MD | Physician
    • Profits before patients: the hidden cost of U.S. health care

      Dr. Shantanu Rai | Physician
    • Why maintenance of certification varies widely: a system in crisis

      Brian Hudes, MD | Physician
    • Modern technology must revolutionize the archaic physician job search [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why death certificates fail to capture the reality of aging

      Deon Hayley, MD | Conditions
    • AI governance in health care: Why physicians must lead the design

      Tod Stillson, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Single-payer health care vs. market-based solutions: an economic reality check

      Allan Dobzyniak, MD | Policy
    • Value-based care data gap: Why metrics fail to reach the bedside

      Ido Zamberg, MD | Policy
    • The healing power of physician presence in modern medicine

      Farid Sabet-Sharghi, MD | Conditions
    • The pause medicine never taught us to take

      Mary Wilde, MD | Physician
    • How naming grief can restore meaning in medical practice

      Patrick Hudson, MD | Physician
    • What the folinic acid retraction means for autism treatment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • Why private equity is betting on employer DPC over retail

      Dana Y. Lujan, MBA | Policy
  • Recent Posts

    • Leadership in action: How a broken pager fixed a hospital

      Ronald L. Lindsay, MD | Physician
    • Profits before patients: the hidden cost of U.S. health care

      Dr. Shantanu Rai | Physician
    • Why maintenance of certification varies widely: a system in crisis

      Brian Hudes, MD | Physician
    • Modern technology must revolutionize the archaic physician job search [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why death certificates fail to capture the reality of aging

      Deon Hayley, MD | Conditions
    • AI governance in health care: Why physicians must lead the design

      Tod Stillson, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...